HomeMy WebLinkAboutSchemberi Homes /01
_
ELIZABETH A.NEVILLE Skil�07 �� Town Hall, 53095 Main Road
TOWN CLERK ®
P.O. Box 1179
REGISTRAR OF VITAL STATISTICS `1y' Pft �� Southold, New York 11971
MARRIAGE OFFICER Fax t �1� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER "--.:16:1 � ,•' Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ��„
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2480 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : SCHEMBRI HOMES INC
Address 1 : 2042 NORTH COUNTRY ROAD
City St Zip WADING RIVER NY 11792
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF # R10-00-0264
Name Of Owner SCHEMBRI HOMES INC
Mailing Address 1 2042 NORTH COUNTRY ROAD
City St Zip WADING RIVER NY 11792
Property Address 1 ROCKY POINT ROAD
City St Zip EAST MARION NY 11939
Tax Map No. section 30.00 block 3 lot 9.000
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 12/04/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
•
0' e40014,
ELIZABETH A. NEVILLE �� �� Town Hall, 53095 Main Road
TOWN CLERK : P.O. Box 1179
REGISTRAR OF VITAL STATISTICS % °,` Southold, New York 11971
MARRIAGE OFFICER : sjs . Itt. Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �,�®4 its. �® Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ���
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: December 1, 2000
Transmitted herewith is a copy of application No. 2568 for a Cesspool/Septic Tank Construction
Permit submitted by:
Schrembri Homes, Inc
Please review the application and location map and advise if the project has received Suffolk County
Health Department approval and if this office may issue the permit.
Please complete the form below and return it to me.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments:
Signature
q /643
Dated
OFFICE OF THE TOW •,
N CLERK ,' ,,•••••••••� �+
TOWN OFSOUTHOLD %%. oo�Kr-a
�o = Application No.(QO a
Fi.17ABEIHA NEVILLE,TOWN CLERK $ D t4.1..P.O.BOX 1179 !—'� � Construction .
SOUTHOLD,NEW YORK 11971 o T
•
LS1 �. Alteration
t.
Telephone oj,�, �. ,c-i ' $10.00 - Residential J
(631) 765-1800 Ol I �,��'� $25.00 -Non-Residential
TOWN OF SOUTHOLD J
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. •
Fee .$
DATE P-)# 106
APPLICANT NAME: _ gcJ1o44.- 4,,,,,...
JVC., ,
APPLICANT ADDRESS: OLS i ) U0-05-Ry tekAtipb
toth- cio' G g.,CLATR) H it---icw
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
)p4iP
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 114-0717 /31e4 /km/L-S _ Jo o
OWNER MAILING ADDRESS: :?0(4:). g �,07-ggo,f4-
it,kb au-+c. �;(z) iuv /r-79.6-
OWNER
9 -
OWNER PROPERTY ADDRESS: LOT 19 C_C / pcic P__6-A-J
A14P-i8 tO11-1
TELEPHONE NUMBER OF CONTACT PERSON: `7 a-- -i/
TAX MAP NO. : Section /0000 Block .-.30- 01 Lot 09
CROSS STREET: 01/4/ A)/-,)
BUILDING PERMIT NUMBER CROSS REFERENJ ,
n' 4
Signallte of Applicant
RECEIVED BY:/>/-11----&--c--1-(
To n Clerk's Office
DATE: / o_//
i1
do. 67 — — -- — -- TAX I D No 1063-30-03-09 —
11(+;
` TAX LOT 11 -
OCC RES
SEPTIC REAR q.D TAX LOT 12
OCC RES;
` TAX LOT 101O SEPTIC REAR YARD
OCC RES
WELL NOT FOUND TAX LOT i
WELL AREA WELL'AREA OCC RES
•r WELL NOT F• ND
ti
ROCKY POINT - q [50I] �a 5 -
,'•, 914 t
90 0 APPROX 325'TO
a wuT- -- ---- —- -- g 8°30'00"E 165.00' HYDRANT I MY]
y
015
PROPOSED 8g5 Z '
O-WELL TIE 1123 77
O
STIC AREA , �O '
EP
• ,
70' �o,Ls N
\ FF935 A
\ FF 93 LP
N
70
PROPOSE*
Nii SIN LE FAMILY
^ I
46 ,
LOT 18 1 r SEPTIC LOT 20 '
VACANT
.q M
w • 0 o
Ek
WELL AREA ^ {
Z
1 — — —,�RADWS_ —
I'
.
'
I , SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
PERMIT FOR APPROVAL OF CONSTRUCTION FOR A
SINGLE FAMIL'.k RESIDENCE ONLY PLE..E N OTE
DATE rl- -CO H F. (Z1O r'��7 Minimum dis once between well
APPROVED W, w reg,, and cesspool is to be 150 feet.
884
FOR MAXIMUM OF BE 44 3 '
EXPIRES THREE YEARS FROM DATE OF APPROVAL ea 0 N 13°05'50'W 164 47' '
j •
I — O w PROPOSED
LOT 18 SEPTIC AREA I
I` LOT 17 IDm i
ii 0
1 ALL DISTANCES TO WELLS AND CESSPOOLS E ;
1. ARE BY LOCATIONS FROM HOMEOWNERS, I
; FIELD OBSERVATIONS, AND EXISTING
! SURVEYS. SINCE MOST ARE NOT VISIBLE
THESE DIMENSIONS ARE NOT CERTIFIED
I
ELEV IN ASSUMED DATUM
T- --—_ --- ", _— — -- FILE MAP No 8759 6!7!89 ,
nzedalteration or Madero to tha dm/anent re a madam of Seaton 7108
1 lhWMalteration
of the New Yon(Stale Eauanon Use SURVEY OF
Carter-aeons Indented Nll n
Nance shall only to the Parson fon,Nan to prepared LOT 19
and on Its behalf to the Tela Cornfany.Go emmental Agencyand Laren' atseseaue uttont owners reed in°`°" � a
a ag"eaa '"a Lane'"°Ingham or MAP OF EAST MARION WOODS
4V.OF NEw y Mahalseal ° rad a valal true copy �� « � EAST MARION,TOWN OF SOUTHOLD
.(Q' O,9 The effects I or daemon 1 shown hereon from structures to the property kree are '
G, 'f kraepouf`°upas¢and uea"ettavareare"°"'ende°ro°smame"`xta'd SUFFOLK COUNTY,,NEW YORK
1 DESTIN G.GRAF pools•repos planWq areas aeeelon to arebutw,or any other ' -
^ ocerstrUabOn
nWa of ways mwar easements or revere a any,not shown are SURVEY DATE 11/7/00 SCALE 1"=50'
i N it/ t ! CERTIFIED ONLY TO i
j= • uCEN••E r050087 JQ SCHREMBI HOES M +
41 y ____ T DESTIN G.GRAF i
'• ►�yc�;—�Y� LAND_SURVEYOR
73 Wcadawn Rand
4
' - _--- _ .•• Rocky Poled,New Yak,11778
[.' --- --- 831.8213442 a
1=' f ik
By GESTIN G GRAF N Y S LIC NO 50067 t i
—i
.—_ 4•;
'21St`,'_.Zt.;,z%:,1.. °"�',•, r_, ' - R '"li .. .., - ?'fit